Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $19.28 / $42.42	Professional		$19.03	$19.28	$42.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.43 / $100.00 / $180.74	Facility		$37.43	$100.00	$180.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $29.46 / $42.72	Professional		$3.21	$29.46	$42.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $31.34 / $33.08	Professional		$15.97	$31.34	$33.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Facility		$38.54	$38.54	$38.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Professional		$38.54	$38.54	$38.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $30.00 / $36.08	Professional		$24.00	$30.00	$36.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $38.47 / $40.22	Facility		$34.96	$38.47	$40.22
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $38.47 / $42.33	Professional		$38.47	$38.47	$42.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $33.54 / $33.54	Facility		$3.35	$33.54	$33.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $32.50 / $38.39	Professional		$3.18	$32.50	$38.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.43 / $37.43 / $37.43	Facility		$37.43	$37.43	$37.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $3.21	Professional		$2.64	$2.64	$3.21
United Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $18.94 / $36.40	Professional		$18.94	$18.94	$36.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $26.61 / $28.81	Professional		$26.61	$26.61	$28.81